California state 2026

1. Click ‘Get Form’ to open the Child Care Billing form in the editor.
2. In Section 1, enter your new address if applicable. Fill in your Provider/Site Name and Billing Address, including your Tax I.D. number or Social Security number for non-licensed providers.
3. In Section 2, indicate whether you are a licensed or licensed-exempt provider by checking the appropriate box and entering your Facility License Number if applicable.
4. For Section 3, specify where child care is provided by selecting from the options available. If 'Other' is selected, provide an explanation.
5. In Section 4, indicate if you are including an annual registration fee for the billing month.
6. Section 5 requires you to enter the child's name, school hours, and age. If the child is not in school, check the corresponding box.
7. For Section 6, input the total number of hours, days, weeks, or months of care provided and select the appropriate rate category.
8. In Section 7, enter your rate for child care services based on the defined categories. Finally, calculate and enter the total amount in Section 8 by multiplying the figures from Sections 6 and 7.
9. Read through the Certification section carefully before signing and dating it. Ensure to return this completed form to the parent on time.

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